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新生犬的脑血流量与氧耗量

Cerebral blood flow and oxygen consumption in the newborn dog.

作者信息

Hernández M J, Brennan R W, Vannucci R C, Bowman G S

出版信息

Am J Physiol. 1978 May;234(5):R209-15. doi: 10.1152/ajpregu.1978.234.5.R209.

Abstract

Cerebral blood flow (CBF), CBF responses to changes in arterial CO2 tension, and cerebral metabolic rate for oxygen (CMRO2) were measured in newborn dogs, by means of a modification of the Kety and Schmidt technique employing 133Xe. Mongrel dogs of 1-7 days of age were paralyzed and passively ventilated with 70% N2O and 30% O2. CBF was derived by analysis of paired serial 20-microliter samples of arterial and of cerebral venous blood from the superior sagittal sinus. At an arterial PCO2 of 36.9 +/- 3.7 Torr and a mean arterial blood pressure of 62 +/- 10 Torr, CBF was 23 +/- 8 ml/min per 100 g. The arteriovenous oxygen content difference averaged 5.6 vol%, and CMRO2 was 1.13 +/- 0.30 ml O2/min per 100 g. CBF increased or decreased by 0.58 ml/min/100 g per Torr change in PCO2. Our results suggest that in the newborn, basal CBF and CBF responses to CO2 are considerably lower than in the adult and parallel the lower metabolic needs of the newborn brain.

摘要

采用改良的凯蒂(Kety)和施密特(Schmidt)技术,运用133Xe,对新生犬的脑血流量(CBF)、脑血流量对动脉血二氧化碳分压变化的反应以及脑氧代谢率(CMRO2)进行了测量。选取1至7日龄的杂种犬,使其麻痹,并使用70%一氧化二氮和30%氧气进行被动通气。通过分析来自上矢状窦的成对连续20微升动脉血和脑静脉血样本得出脑血流量。在动脉血二氧化碳分压为36.9±3.7托、平均动脉血压为62±10托时,脑血流量为每100克23±8毫升/分钟。动静脉氧含量差平均为5.6容积%,脑氧代谢率为每100克1.13±0.30毫升氧气/分钟。脑血流量随二氧化碳分压每变化1托而增加或减少0.58毫升/分钟/100克。我们的结果表明,在新生儿中,基础脑血流量和脑血流量对二氧化碳的反应显著低于成年人,这与新生儿大脑较低的代谢需求相一致。

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